ArticleIrish journal of medical science2019
Primary total hip arthroplasty: registry data for fixation methods and bearing options at a minimum of 10 years.
Article in Irish journal of medical science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
5 citing papers in PubMed, 14 citations in OpenAlex.
- What Are the Relative Associations of Surgeon Performance and Prosthesis Quality With THA Revision Rates?Clinical orthopaedics and related research · 2025Article
- The utility of cemented femoral stems in modern THA: a 10-year comparative analysis of the Charnley and Exeter stems.Irish journal of medical science · 2024Article
- UNCEMENTEDActa clinica Croatica · 2023Article
- Evaluating the Use of PROMs in Paediatric Orthopaedic Registries.Children (Basel, Switzerland) · 2023Review
- Has the Use of Fixation Techniques in THA Changed in This Decade? The Uncemented Paradox Revisited.Clinical orthopaedics and related research · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRegistry data for total hip arthroplasty (THA) has allowed optimal fixation methods, bearing surfaces and many other factors to be assessed. We describe 10-year THA outcomes from an Irish perspective using regional THA registry data for the first time.
aimsWe assess the main predictors of revision in primary total hip arthroplasty (THA) using regional registry data.
methodsThis was a prospective study of registry data from a National Orthopaedic Hospital for all THAs with 10-year follow-up data. All metal-on-metal THAs and resurfacings were excluded from the analysis. All-cause revision was the primary outcome. Univariate and multivariate analyses controlling for confounding variables were performed to assess predictor impact on primary and secondary outcomes.
resultsA total of 1697 THAs were performed in 1553 patients. The three significant predictors for all-cause revision were fixation type (p < 0.01), surface bearing type (p < 0.01) and femoral head size (p < 0.05). The lowest 10-year all-cause revision rates were seen in cemented THRs at 1.2%. Ceramic-on-poly bearings had the lowest revision rate at 0.9%. The 22.225-mm head sizes had a significantly lower revision rate than other head sizes (p < 0.05). The causes for revision in order of decreasing frequency were infection (0.7%), dislocation (0.4%), periprosthetic fracture (0.2%) and aseptic loosening (0.1%). There were two re-revisions at 10 years in total.
conclusionsBased on this registry and other emerging registry data, the shift towards uncemented THAs may not be fully supported. We also acknowledge that ceramic-on-polyethylene bearings afford the lowest revision rates in this registry.
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